Endovascular covered stent treatment for descending aorta pseudoaneurysm following coarctation of the aorta repair in an infant

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Authors

Takawira, Farirai F.
Sinyangwe, Greenwood
Mooloo, Rene

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Publisher

Elsevier

Abstract

The development of a pseudoaneurysm is a rare complication following repair of a coarctation of the aorta. Surgical management of pseudoaneurysms is associated with high morbidity and mortality. We describe the successful endovascular deployment of a covered stent in a sick infant with a descending aorta pseudoaneurysm, following the repair of an aortic coarctation. We highlight the challenges we encountered. Endovascular repair is a safe palliative alternative to re-do open surgery in unstable infants with large pseudoaneurysms following aortic coarctation repair. The role of endovascular stents as the final definitive therapy will remain limited by the deployable, small-size stents in small, growing children.

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Keywords

Angiography, Aortic arch, Cardiac catheterization/intervention, Stents, Coarctation

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Citation

Takawira FF, et al. Endovascular Covered Stent Treatment for Descending Aorta Pseudoaneurysm Following Coarctation of the Aorta Repair in an Infant. Heart Lung Circulation, vol. 19, no. 12, pp. 745–748, 2010, doi: 10.1016/j.hlc.2010.06.1058